NATIONAL WELL HOME NETWORK INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
NATIONAL WELL HOME NETWORK INC (EIN 82-1996035)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-03
IRS object ID
201801239349300700
Schema version
2017v2.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-03T03:38:04-07:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL JULOW CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line144 PARK STAddressLine1Txt
CityESSEX JUNCTIONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP054523564ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN821996035EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NATIONAL WELL HOME NETWORK INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNATIBusinessNameControlTxt
Phone2027164088PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line180 RIVERMOUNT TERRACEAddressLine1Txt
CityBurlingtonCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05408ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN KASSELPersonNm
Person TitleDIRECTOR & SECRETARYPersonTitleTxt
Phone2027164088PhoneNum
Signature2018-04-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL JULOWPreparerPersonNm
PTINP01201035PTIN
Phone8028782218PhoneNum
Preparation2018-05-03PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd
Principal OfficerJOHN KASSELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line123 LEDGEMERE STAddressLine1Txt
CityBURLINGTONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$208,403GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2017FormationYr
Legal Domicile StateVTLegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE ORGANIZATION IS TO ASSIST LOW INCOME SENIORS TO AGE IN PLACE IN A SAFE AND AFFORDABLE MANNER BY PROMOTING AND SUPPORTING IMPLEMENTATION OF HOUSING-BASED SUPPORTIVE SERVICE MODELS.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$153,943CYContributionsGrantsAmt
CY Program Service Revenue$54,460CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
CY Total Revenue$208,403CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$79,956CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$8,024CYTotalFundraisingExpenseAmt
CY Other Expenses$54,722CYOtherExpensesAmt
CY Total Expenses$134,678CYTotalExpensesAmt
CY Revenues Less Expenses$73,725CYRevenuesLessExpensesAmt
Total Assets EOY$79,115TotalAssetsEOYAmt
Total Liabilities EOY$5,390TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances EOY$73,725NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE ORGANIZATION IS TO ASSIST LOW INCOME SENIORS TO AGE INMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$91,190ExpenseAmt
Revenue$208,403RevenueAmt
Desc(1)IDENTIFICATION OF SUPPORT AND SERVICES AT HOME (SASH) PILOT SITES IN MINNESOTA AND DEVELOPMENT OF FUNDING STRATEGY. SIX SITES HAVE BEEN IDENTIFIED IN THE TWIN CITIES AND IN RURAL CAMBRIDGE, MN. THE FUNDING STRATEGY INCLUDES A COMBINATION OF SPECIAL NEEDS HEALTH PLANS AND FOUNDATION SUPPORT. (2)TECHNICAL ASSISTANCE SUPPORT TO THE DEPARTMENT OF HOUSING & URBAN DEVELOPMENT ON ITS INTEGRATED WELLNESS IN SUPPORTIVE HOUSING (IWISH) DEMONSTRATION IN SEVEN STATES AT 40 ELDERLY AFFORDABLE HOUSING SITES. TECHNICAL ASSISTANCE INCLUDED DESIGNING THE CORE COMPONENTS OF THE IWISH DEMONSTRATION AND SUPPORTING TREATMENT SITES IN PREPARATION TO ENROLL RESIDENTS. (3)TEACHING A COURSE ON HEALTH AND HOUSING TO NEIGHBORWORKS TRAINING INSTITUTE ATTENDEES AND PRESENTING AT SEVERAL EDUCATIONAL EVENTS INCLUDING GIVING THE KEYNOTE ADDRESS AT THE ENTERPRISE COMMUNITY PARTNER AND LEADINGAGE NEW YORK FORUM ON ELDERLY HOUSING AND SERVICES.Desc
Total Program Service Expenses$91,190TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROSE CHEESEMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8028598822PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1CATHEDRAL SQUARE 412 FARRELL STAddressLine1Txt
CitySOUTH BURLINGTONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05403ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KAREN NYSTROM MEYER
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
ROBERT JENKENS
TREASURER1.00Yes (X)Yes (X)$0$0$0
JOHN KASSEL
SECRETARY1.00Yes (X)Yes (X)$0$0$0
NANCY ROCKETT ELDRIDGE
CEO40.00Yes (X)$64,903$0$9,873
FieldValueIRS element (for citing)
Total Reportable Comp From Org$64,903TotalReportableCompFromOrgAmt
Total Other Compensation$9,873TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$153,943AllOtherContributionsAmt
Total Contributions$153,943TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,460TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$54,460TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$208,403TotalRevenueColumnAmt
Related Or Exempt Func Income$54,460RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$64,903TotalAmt
Program Services$55,168ProgramServicesAmt
Management And General$3,245ManagementAndGeneralAmt
Fundraising$6,490FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,873TotalAmt
Program Services$8,392ProgramServicesAmt
Management And General$494ManagementAndGeneralAmt
Fundraising$987FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,180TotalAmt
Program Services$4,403ProgramServicesAmt
Management And General$259ManagementAndGeneralAmt
Fundraising$518FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,400TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,400ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,708TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,708ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,977TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,977ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,857TotalAmt
Program Services$11,857ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,408TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,408ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
IT CONSULTING$21,738$0$21,738$0
TELEPHONE$447$0$447$0
NATIONAL REPLICATION$10,406$10,406$0$0
WEBSITE$467$0$467$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,314TotalAmt
Program Services$964ProgramServicesAmt
Management And General$1,321ManagementAndGeneralAmt
Fundraising$29FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$134,678TotalAmt
Program Services$91,190ProgramServicesAmt
Management And General$35,464ManagementAndGeneralAmt
Fundraising$8,024FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$66,983EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$2,750EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$9,382EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$79,115EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$5,390EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,390EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
EOY$73,725EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$73,725EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$79,115EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$73,725ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year$153,943CurrentTaxYearAmt
Total$153,943TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year$153,943CurrentTaxYearAmt
Total$153,943TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$153,943PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$153,943TotalSupportAmt
Gross Receipts Rltd Activities$54,460GrossReceiptsRltdActivitiesAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700PublicSupportCY170Pct
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bA DRAFT OF THE 990 IS REVIEWED BY THE CEO AND THE BOARD
Pt VI, Line 11bPRIOR TO FILING THE FORM.
Pt VI, Line 12cON OCTOBER 5, 2017 AT A DULY CALLED MEETING OF THE NWHN
Pt VI, Line 12cBOARD OF DIRECTORS A CONFLICT OF INTEREST POLICY WAS
Pt VI, Line 12cREVIEWED AND ADOPTED. FOLLOWING ADOPTION OF THE POLICY,
Pt VI, Line 12cEACH BOARD MEMBER COMPLETED AND SIGNED THE CONFLICT OF
Pt VI, Line 12cINTEREST POLICY AND QUESTIONNAIRE.
Pt VI, Line 15aCOMPARABILITY DATA ON CEO SALARIES WAS COLLECTED AND
Pt VI, Line 15aREVIEWED BY THE BOARD OF DIRECTORS TO ESTABLISH THE CEO'S
Pt VI, Line 15aSALARY. THE SALARY WAS APPROVED BY THE BOARD ON 10/5/17.
Pt VI, Line 19NATIONAL WELL HOME NETWORK GOVERNING DOCUMENTS ARE
Pt VI, Line 19AVAILABLE UPON REQUEST TO THE PUBLIC DURING THE TAX YEAR.
Pt VI, Line 15bONLY THE CEO RECEIVED COMPENSATION.
Pt VII, Col (E)N/A
Form 990, Part IX, Line 24eTRAINING & MEETINGS 725. 725. 0. 0.
Form 990, Part IX, Line 24ePAYROLL SERVICE 457. 0. 457. 0.
Form 990, Part IX, Line 24eOTHER ADMIN 850. 0. 850. 0.
Form 990, Part IX, Line 24eWORKERS COMP 282. 239. 14. 29.

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